A client with cystic fibrosis (CF) presents with clubbed fingers during a routine examination. What should the nurse explain to the client regarding the significance of clubbing in CF?
"Clubbed fingers are a common cosmetic concern but do not indicate any medical issues in CF."
"Clubbing of the fingers can be a sign of advanced lung disease or decreased oxygen levels in CF."
"Clubbing occurs as a result of excessive sodium intake, which is often seen in CF patients."
"Clubbing is primarily associated with digestive problems in CF and does not affect the respiratory system."
The Correct Answer is B
A) Incorrect. Clubbed fingers in CF can be more than a cosmetic concern and may indicate underlying medical issues.
B) Correct. Clubbing of the fingers can be associated with advanced lung disease or reduced oxygen levels in CF.
C) Incorrect. Clubbing is not related to excessive sodium intake in CF patients.
D) Incorrect. While CF can affect the digestive system, clubbing of the fingers is primarily associated with respiratory issues.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. While airway clearance techniques can help maintain lung function, their primary goal is not to improve lung capacity.
B) Incorrect. Preventing respiratory infections is an important aspect of CF care, but it is not the primary goal of airway clearance techniques.
C) Incorrect. Maintaining electrolyte balance is important in CF, but it is not the primary goal of airway clearance techniques.
D) Correct. The primary goal of airway clearance techniques in CF is to mobilize and clear mucus and secretions from the airways, improving breathing and reducing the risk of infection.
Correct Answer is D
Explanation
A) Incorrect. Genetic testing is used to confirm CF but does not directly measure chloride ion concentration in sweat.
B) Incorrect. Chest X-rays may be used to assess lung changes in individuals with CF but are not used to measure chloride ion concentration in sweat.
C) Incorrect. Pulmonary function tests assess lung function but do not directly measure chloride ion concentration in sweat.
D) Correct. The sweat chloride test measures the concentration of chloride ions in sweat and is commonly used to confirm CF. Elevated sweat chloride levels are indicative of CF.
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